types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

Nurses Relations

Published

Some of the patterns I can think of in types of people that irk me at work:

CO-WORKERS

Houdini – “code brown?” Hides in nearest cubby, preferably with a locking door.

The absent MD – “yeah, whatever you think. Can you put that in as a telephone order?” gets paid five times your salary while you do their job.

The cell phone addict – half day working, half day texting (also tends to be a Houdini)

The old-school MD – wants to order Tylenol in grains. grumbling about how it used to be, pecking away at the keyboard with index fingers, eyes shooting from monitor to keyboard. they will get it done… eventually

The phone snarler –$150k in student loans for a job they hate. Capitalizes on elitism. You, random person on the phone, are their prey.

The benefit milker – need I say more?

The over-glorified RNdelusional everyone here is stupid… except me.” Spends less time actually working and more time trying to find a problem with other peoples work. finds the most condescending way to point out an error.

The work dumper – Feels entitled with their seniority. Takes advantage of the passive orientees while they flip through catalogues and watch TV, hoping this new slave doesn't develop a spine.

The futile administrator – “here’s my solution," E for effort

The over-stepping CNA – wants all of the glory, possesses none of the qualifications. Tries to delegate to RNs, has been “working on my nursing degree” for a decade.

The drama queen/king – oblivious to the fact that you’ve got work to do. Tends to catch you while you have no escape route. Can’t understand why you wouldn’t want to stick around and hear about their juicy little nugget

PATIENTS:

The med seeker – always nauseated, always in pain 10/10, loves their IV drug cocktail.

The bum – saying the s-word in the ED earns them 2 weeks of hot meals and warm bed. $1000/night on the backs of tax-payers.

The puppetmaster – Hitting the call button like its Jeopardy! And they’ve got the answer every 5 minutes.

add more if you can think of them. I'm sure there are some I left out.

The Scared Out of Her Pants Student: Nursing student reading post on AN praying God, please don't let me fall into any of these categories when my day comes!

This is me!! :)

The "I have a question" doesn't ask if I have a minute RN: New to the floor, sees you heading towards a room with dilaudid in your hand and launches into "ok so I have this patient and..."

This will probably be me.... sorry in advance!!!

"The intimidated by the nurses" patient: Too scared to say anything or ask questions because the nurse is inching her way out the door, and you don't want to hold her up. Too scared to push the call button because she will think you are annoying. Too scared to ask for pain meds and/or tell her the pain meds already given are not effective because she will see you as a drug seeker. Too scared to take up for yourself even when you ask for help breastfeeding, and she suggests she just bring you a bottle instead.

This used to be me....

The bum – saying the s-word in the ED earns them 2 weeks of hot meals and warm bed. $1000/night on the backs of tax-payers.

Feed him, care for him, and be thankful his life isn't mine.

Kudos!

Specializes in Med-Surg, Psych.
Is that the same LPN that is constantly complaining about RN's and feels some what shafted because they do not make as much money but clearly know as much if not more than all of the RN's combined? This is also the one that for some reason just cannot quiet seem to find the time to go back to nursing school because he or she is too busy going to the club getting drunk and making sure everyone knows about it on monday. They seem to have quite a bit of baby momma/daddy drama too.

Waiver: This is in no way a jab at LPN's. There are many many great ones out there. If youi happen to be an LPN who finds this comment offensive, I probably AM talking about you!:lol2:

Beautiful, absolutely beautiful!!! Yes they are the ones and if any LPN reads this and is offended go back to school, quit getting drunk and stop the baby momma/daddy drama..........or better yet, quit nursing!!!:D

Let me clarify "the bum," because it's a certain brand of bum that I'm referring to.

This is a "homeless by choice" person that routinely shows up in ED, crying wolf so that they can get a psych admission. They have spent their lifetime pushing limits and know exactly how to get what they want. So they get admitted, get opioids and ask for their pain meds in combination with their anxiety/nausea meds. They are demanding and manipulative throughout their stay. When they are discharged, they go to he next hospital,stay two weeks and the next, stay two weeks. Then they come back to you. Their lie gets them a continuous high at a huge expense, using resources for people who are truly in need. Not ok.

Be glad my life isn't theirs? I am. Continue catering to this crap? No thanks.

Specializes in Trauma Surgery, Nursing Management.

Tater-I'm with you there! I saw a 'homeless' person begging at the intersection the other day. You know, the ones that carry the signs that say "Homeless and Need Help. God Bless". The smallest details catch my eye, and I saw a set of keys hanging out of this homeless person's back pocket. Hmmmm.....

When does the manipulation end?

"The gives way too much unecessary information in report nurse"

The nurse who will, while the patient is coding during change of shift will give you information and start with "The patient was at home, eating when.... then go into the details of their sacral redness, but it takes atleast 20 min to find out why the patient was just coded for 15 min.....

Amen!!:yeah:

Is that the same LPN that is constantly complaining about RN's and feels some what shafted because they do not make as much money but clearly know as much if not more than all of the RN's combined? This is also the one that for some reason just cannot quiet seem to find the time to go back to nursing school because he or she is too busy going to the club getting drunk and making sure everyone knows about it on monday. They seem to have quite a bit of baby momma/daddy drama too.

Waiver: This is in no way a jab at LPN's. There are many many great ones out there. If youi happen to be an LPN who finds this comment offensive, I probably AM talking about you!:lol2:

No offense taken...I see it everyday, in LPNs who think themselves better than RNs, & RNs who fancy themselves MDs!:D

the "I'm better than LPN's/CNA's/anyone below me" RN- have had everything in life handed to them, wouldn't know how to change a bed, turn a patient, feed a patient, or where to get the wipes for a "mess" if their life depended on it. Only became an RN to say they are such. Usually refers to those "below" them as "hey you". Has been known to page those of lesser value 5 times in 10 minutes while they are elbow deep and running around like a chicken with their head cut off trying to meet pt needs just to tell you that they need you to get so and so off of the potty chair so they can give him his meds.

the "We are all equal" RN- the nurse who knows that the hospital would fall apart without LPN's/CNA's and treats them like human beings. Doesn't care to help out with anything, and has been known to say "I did that for you while I was giving him his meds, I knew you were busy".....my favorite kind :)

the "I'm better than LPN's/CNA's/anyone below me" RN- have had everything in life handed to them, wouldn't know how to change a bed, turn a patient, feed a patient, or where to get the wipes for a "mess" if their life depended on it. Only became an RN to say they are such. Usually refers to those "below" them as "hey you". Has been known to page those of lesser value 5 times in 10 minutes while they are elbow deep and running around like a chicken with their head cut off trying to meet pt needs just to tell you that they need you to get so and so off of the potty chair so they can give him his meds.

the "We are all equal" RN- the nurse who knows that the hospital would fall apart without LPN's/CNA's and treats them like human beings. Doesn't care to help out with anything, and has been known to say "I did that for you while I was giving him his meds, I knew you were busy".....my favorite kind :)

just be careful being kind, u can get a red flag or staff who suspect u are diverting meds! I used to as charge run and give pain meds for really busy nurses, after reading about some of the things that can go on, I'm going to help in another capacity....However I'll still give the prn BP med or tylonol, recheck a temp for ya!

Nola, me too! You're in good company

oh gosh, me too!LMAO!!!! :lol2:

Specializes in OB, Med/Surg, Ortho, ICU.
Tater-I'm with you there! I saw a 'homeless' person begging at the intersection the other day. You know, the ones that carry the signs that say "Homeless and Need Help. God Bless". The smallest details catch my eye, and I saw a set of keys hanging out of this homeless person's back pocket. Hmmmm.....

When does the manipulation end?

I hear you guys on that one, too. A recent article in one of our local papers found that someone on a corner with a sign made $40,000 a year doing so (which I'm certain he declared when he filed his taxes). He probably would have kept on at it if someone hadn't seen him getting in to his car after a long day at the corner.

Ok, so here's my negative one (I posted a positive one earlier):

The moocher:This person is always in need of an alcohol swab here, a saline flush there. Worst of all, they can mooch your time. "Hey, I'm in the middle of this dressing change, and I forgot the hypafix, could you grab me some? Oh, and if you aren't too busy, could you place an IV in 114?". Everyone forgets something once in a while, or needs help, but these are always too disorganized to complete a task efficiently.

I hear you guys on that one, too. A recent article in one of our local papers found that someone on a corner with a sign made $40,000 a year doing so (which I'm certain he declared when he filed his taxes). He probably would have kept on at it if someone hadn't seen him getting in to his car after a long day at the corner.

I know this is off topic, but this story touches my heart so I'll share. When I was 18 I worked overnight cashiering at a truck stop (scary, I know!!) anyway, as you can imagine we saw everything!! Including various homeless people that would come in for a warm/cool place to sit. One man that often came in was super quiet but was friendly with another lady that worked there. After about a year of me working there, he came in and was chatting with my coworker and pulled out a HUGE wad of money. I was surprised not only because he was homeless, but because I thought it was quite dangerous for him to be on the streets with all that in his pocket!

Anyway to make a long story somewhat shorter, I asked my coworker about him. Apparently she has known him for years (met him while working there). He was very mentally ill. His family got a check for him every month, and kicked him out on the street. My coworker had been trying (unsuccessfully) to advocate for him for a long time. She would bring up his situation to the "powers to be" but nothing was ever solved. Turns out that most of the money he got while on the streets actually went back to his wicked family. He died the winter after I left the truck stop.

I know not every situation is like this, but 1 in 4 homeless people have severe mental illnesses.... Just food for thought :)

FLAME RETARDANT: no I'm not trying to say that I think a guy begging on the streets then driving off is mentally ill. Again, I just thought this was a touching story an wanted to share since the subject had been breached. Also, I'm not trying to "call out" the post I quoted... It was simply the last I saw before I wanted to post something on the subject so I hit quote :p

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